Greenbelt Anesthesia LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0059481 Issued in MD

Legal business name

GREENBELT ANESTHESIA LLC

Practice address

7300 Hanover Dr
Suite 204
Greenbelt, MD 20770-2202

Phone

(240) 297-9016

NPI assigned

Feb 20, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Haddis Hagos, M.D

Title

President

Phone

(240) 297-9016

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1902179153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 HANOVER DR",
            "address_2": "SUITE 204",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702202",
            "telephone_number": "240-297-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 HANOVER DR",
            "address_2": "SUITE 204",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702202",
            "telephone_number": "240-297-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBELT ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "HAGOS",
        "authorized_official_first_name": "HADDIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-297-9016",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0059481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.